CPT^® 27641, Under Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint

The Current Procedural Terminology (CPT^®) code 27641 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Leg (Tibia and Fibula) and Ankle Joint.

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Summary

The provider removes a part of diseased portion of fibula to treat osteomyelitis. He performs this procedure either by removing the middle portion of bone or scooping out diseased bone, which leaves a saucer like or crater like depression.

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EXCISION OF AVULSION FRACTURE, LEFT LATERAL MALLEOLUS WITH REPAIR OF THE LATERAL LIGAMENTS

[QUOTE="Jwindsor17, post: 515881, member: 785755"] [SIZE=3]The program I use is ASCExpert & the lay description for CPT 27641 states: The physician performs a partial excision of the tibia in 27640 o... [ Read More ]

EXCISION OF AVULSION FRACTURE, LEFT LATERAL MALLEOLUS WITH REPAIR OF THE LATERAL LIGAMENTS

[QUOTE="Set_Apart, post: 515867, member: 197190"] I would code this as 27641-LT. The lateral malleolus is the distal end of the fibula and the documentation states that the fracture fragment was excis... [ Read More ]

EXCISION OF AVULSION FRACTURE, LEFT LATERAL MALLEOLUS WITH REPAIR OF THE LATERAL LIGAMENTS

I would code this as 27641-LT. The lateral malleolus is the distal end of the fibula and the documentation states that the fracture fragment was excised from the tip of the lateral malleolus. I don't ... [ Read More ]

Coding help please

Code 27641 is a good code. You could also consider 27607 which is labeled more towards the distal end since it includes the ankle as well, but 27641 does not exclude the ankle. Flip a coin? My questi... [ Read More ]

Coding help please

SO sorry yes! I had trouble posting! cpt: 27641 DX: M8618, S8262XA, S91022A... [ Read More ]

Exostosis confusion and podiatry coding confusion

Hello all, I inquired about the exostosis coding with Mr. Paul Cadorette of MD Strategies. He clarified that the notes under CPT 27640 and 27641 that direct you to 27635-Excision or curettage of bone ... [ Read More ]

How to code sx

Stephanie, The 27641 and 27680 are bundled however they 27680 can be second line with a modifier to unbundle them. I also see that you may be missing the fourth digit in the 715.7 dx. Perhaps it ... [ Read More ]

How to code sx

How would you code a sx that involved 29898,27680 and 27641 with dx 905.8 and 715.7. Are any of these codes bundled? Thanks! Stephanie... [ Read More ]

Excision of exostosis - Help

I coded the below surgery as 27635 and DX 726.91. Insurance is denying as DX does not match procedure. Under CPT 27640 and 27641 is states for excision of exostosis, use 27635. First I would like to ... [ Read More ]

Exostosis confusion and podiatry coding confusion

Oh no - never 'late' with additional information! I know that in 2010 the 27640 (tibia) and 27641 (fibula) 'partial excision of bone' codes acquired the notes below them to point you to 27635 - 'bone... [ Read More ]

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